Individual
BROOKLYN MICHELLE SELLERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2434 S EASON BLVD, TUPELO, MS 38804-6942
(662) 640-4595
(662) 680-6416
Mailing address
152 HIGHWAY 7 S, OXFORD, MS 38655-5392
(662) 234-7521
(662) 236-3071
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2555
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018203
—
MS
Enumeration date
08/09/2017
Last updated
02/07/2020
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